| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,524 |
5,777 |
$1.33M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,373 |
5,678 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
398 |
262 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
170 |
112 |
$144.80 |
| 99173 |
|
300 |
200 |
$34.01 |
| 3074F |
|
3,805 |
2,188 |
$0.00 |
| 85018 |
|
154 |
104 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
24 |
24 |
$0.00 |
| 3075F |
|
89 |
52 |
$0.00 |
| 96127 |
|
21 |
12 |
$0.00 |
| 81000 |
|
23 |
13 |
$0.00 |
| 92551 |
|
164 |
106 |
$0.00 |
| 81001 |
|
89 |
55 |
$0.00 |
| 3079F |
|
282 |
164 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
30 |
$0.00 |
| 90686 |
|
41 |
35 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
44 |
$0.00 |
| 99000 |
|
16 |
13 |
$0.00 |
| 3077F |
|
50 |
26 |
$0.00 |
| 99442 |
|
323 |
269 |
$0.00 |
| 3078F |
|
3,670 |
2,118 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
55 |
$0.00 |
| 92552 |
|
38 |
27 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
111 |
56 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
14 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
25 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
18 |
$0.00 |